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/iwA\g#tfl <br />#ER <br />City of Santa Ana 20 Civic center Plaza (M-19), Santa Ana, CA92702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 <br />Electrical Permit #: 210132129 <br />lnspector's Section: (714) 647-5853 <br />Project Address: 1345 N Cabrillo Park Dr <br />Assessor'sParcel: 400-'141-06 <br />Suite: 1 0 <br />Block: NA <br />Bldg: S <br />Tract: '10823 <br />Suite Range: <br />Zoning: R4 <br />Owner: <br />Address <br />Phone <br />Tenant Name: <br />Pacifica Cabrillo, LLC <br />1345 N Cabrillo Park Dr # Rl5 <br />Santa Ana, CA 927013'106 <br />(714) 479-0060 <br />PDO Construction <br />10846 Louise Ave <br />Granada Hills, CA 91344 <br />(818) 3664015 <br />Fee Type <br />Receptacle <br />Switch <br />Light Fixture <br />lssuance <br />Amount <br />0.84 <br />0.84 <br />0.84 <br />32.50 <br />Qty <br />20.00 <br />10.00 <br />4.00 <br />1.00 <br />Fee <br />$16.80 <br />$8.40 <br />$3.36 <br />$32.50 <br />$61.06 <br />$0.00 <br />$61.06 <br />Phone <br />State Lic #: 706088 <br />Lic Type; B <br />Bus. Lic #: 314292 <br />Workers' Compensation lnsurance:Carrier: State Fund <br />Policy #: 1773370-2005 <br />Expires: 'l'112112006 <br />(:itv of Setnta Ann <br />PD:11/29/?IN]5ID:CKELLY LOC: CTYH - III.] 1 <br />(:UST r INV: ?0132129 <br />0119 00114 {rrlrlllg4? l1l2sl20r15 1:19Pn <br />TRANSACTI0I.| ToTAL: $t59.42 <br />Bu ild ins t61.tl6 <br />Notes: Direct change out of fixtures:Jl'+ffiJ* ffi <br />Nature of Work: Fixture Change Ou6 Code: <br />R-3 <br />V-N <br />cEc 2004 <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Serna, Janet 1'v28t2005Date <br />Date <br />Serna. Janet 11t281200s <br />Building Permit #;_ <br />This pemit shall expire by limitation and become null and void if the wotu authoized by this pemit <br />is not commenced within 180 days from the date of this pemit, or if the wotu authoized by this <br />permit is suspended or abandoned at any time after the wotu is commenced for a peiod ot 180 days <br />Before such wofu can be recommenced, a new pemit shall be first obtained to do so. <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />Account #: 01 1-01-5913 lnspector MID#: 2005-66361 <br />Address Range: <br />Historic: NoLot: 1 <br />Contractor: <br />Address: <br />[/isc. Receipt: <br />Misc. Receipt: <br />I\.4isc. Receipt: